The GILLS Score: Part I. Patient Selection for Tongue-Lip Adhesion in Robin Sequence

Abstract

Risk, II.(Figure is included in full-text article.).

Outcomes Analysis of Mandibular Distraction Osteogenesis for the Treatment of Pierre Robin Sequence

“…Interestingly, preoperative intubation, late operation, low birth weight, and syndromic diagnosis were also associated with failure of tongue lip adhesion. 3 None of these four characteristics was associated with failure of mandibular distraction osteogenesis in our study. We believe that mandibular distraction osteogenesis should be considered in patients who cannot or did not benefit from tongue lip adhesion, a recommendation shared by others.…”

“…Although previous studies on mandibular distraction osteogenesis have not addressed its limitations in the treatment of patients with Pierre Robin sequence, Rogers et al 3 reported on the GILLS score for selecting patients with Pierre Robin sequence to undergo tongue lip adhesion. Their study similarly demonstrates the presence of gastroesophageal reflux disease as an indicator for failure of tongue lip adhesion.…”

Defining failure and its predictors in mandibular distraction for Robin sequence

“…The analysis of this patient population provides the basis for score creation, much like the GILLS score (Rogers et al, 2011;Abramowicz et al, 2012). The score is a well-known predictor of success of tongue-lip adhesion (TLA) in the RS population.…”

Mandibular Distraction Osteogenesis in Low-Weight Neonates with Robin Sequence

“…Long-term complications, although rare, can cause significant morbidity for the patient and are often referenced by centers opposed to early mandibular distraction. [26][27][28][29] Further work with longer follow-up will be needed to delineate the long-term effects of distraction, although our series demonstrates promising results with nearly a decade of follow-up in some patients.…”